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Colonoscopy miralax preparation

Eureka Family Practice2675 Harris St.
Eureka, CA 95503707-443-8335 Please read and follow the instructions below carefully.
AT LEAST TWO DAYS BEFORE YOUR COLONOSCOPY, PURCHASE
THE FOLLOWING (all available without prescription):

◦ Four Dulcolax laxative tablets
◦ bottle (238 gms) of Miralax
◦ 64 oz. bottle of Gatorade or other sports drink, flavor of your
choice BUT AVOID RED OR PURPLE COLORED LIQUIDS.
Alternatively, you could use 64 oz. of iced tea.
DIABETIC PATIENTS:
On the day prior to your colonoscopy, take ½ your usual insulin or oraldiabetic medication dosages. If you take metformin (Glucophage), do nottake it the day before your procedure. After you return home and resumeeating normally, resume all your regular insulin and oral medicationdosages.
THE DAY PRIOR TO YOUR COLONOSCOPY
1. Drink only clear liquids the entire day.
2. At noon, take two Dulcolax tablets3. At 3 PM, mix the 255 gm bottle of Miralax in the 64 oz. of sports 4. Drink one 8 oz. glass every 15 – 20 minutes until you’ve consumed the entire mixture. It will take approximately two hours.
5. At 6 PM take the final two Dulcolax tablets.
6. Thereafter, drink at least three more 8 oz. glasses of clear liquid before going to bed. You may drink more (in fact, more is better),but do not drink less.
DO NOT CONSUME:
• MILK or milk products• Juices with PULP• Beverages that are red or purple "CLEAR LIQUID" EXAMPLES THAT YOU MAY HAVE:
◦ Tea, coffee, juices without pulp, carbonated beverages◦ Soups, broth◦ Popsicles, Jell-O◦ And of course, all the water you want After midnight of the day you're doing your prep, do not consume
ANY liquids at all unless otherwise instructed by Dr. Leer. You
should show up at the hospital on the day of your procedure with
an empty stomach. no drinks of any sort since midnight.

DAY OF YOUR PROCEDURE
• You must arrive 1 hour before your scheduled appointment. Your
entire stay at General Hospital will be between 3-4 hours.
• You must have a friend or relative drive you home following the procedure. You are not allowed to take a taxi or publictransportation home.
• After your procedure, do not drive a car for the remainder of the day. Do not make any important decisions until the following day.
• Leave valuables, including jewelry, home.
• If biopsies are taken, the results are usually available within 7 calendar days. Dr. Leer or his medical assistant will contact you with said results. If you had biopsies and haven’t heard from us withinone week, please call! APPOINTMENTS
• The Referrals Department at Eureka Family Practice schedules all procedures. Please call 443-8335 if any questions.
• To cancel (only on weekdays) call 443-8335. Please note that if you do not cancel more than 1 week prior to your scheduled procedure,you may be responsible for a late cancellation fee.
APPOINTMENT DATE: ______________________________ ARRIVAL TIME: ___________________________________ PROCEDURE TIME: _________________________________

Source: http://www.eurekafamilypractice.com/sites/default/files/forms/COLONOSCOPY%20Miralax%20PREPARATION.pdf

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